Surgery is the initial procedure in the treatment of many solid cancers. Surgery and other invasive procedures work by removing cancerous tissues.

Surgical removal of the uterus is recommended for all stages of uterine cancer unless the cancer is widespread. In the early stages, it may be curative.

Hysterectomy

The standard surgical procedure for uterine cancer is a total abdominal
hysterectomy
and bilateral salpingo-oophorectomy. This involves removing the entire uterus and both ovaries and fallopian tubes. In cases in which the risk of spread to lymph nodes is considered low, some lymph nodes will be removed to check for cancer cells. In more advanced or aggressive forms of the disease, the lymph nodes in the pelvis and possibly around the aorta (the large artery in the abdomen) are removed more completely.

During the procedure, the doctor may take samples from other tissue to check for cancer cells. This is done to determine the cancer’s stage.

Description of the Procedure:

A cut is made in the lower abdomen to expose the tissues and blood vessels that surround the uterus and cervix. These tissues are cut and the blood vessels are tied off to remove the uterus. Stitches are placed in these deep structures, which will eventually dissolve. The uterus is removed and the vagina is closed to prevent infection and to keep the intestines from dropping downward. You will stay in the hospital for several days.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.